Federally Required Disclosure
MassHealth is required by CMS (Centers for Medicare and Medicaid Services) to have a current Federally Required Disclosure Form on file for every business participating in the MassHealth Medicaid network. MassHealth has posted additional documents to assist businesses in the completion of this form.
PDF version of the Federally Required Disclosure form
Step by step instructions for the completion of the form
Join the Mass Health dentist network.
We keep it simple. From credentialing, authorizations and claims processing, to network training and patient engagement, we are committed to driving value for your dental practice and alleviating administrative hassle so you can focus on treating patients.
Contact Details
E-mail:
Dentists - to submit an e-mail, use the Dentist E-mail Form
MassHealth Dental Program Customer Service:
1-866-616-2699
TTY: 711
(For people with partial or total hearing loss)
Hours of Operation: 8:00 A.M. to 6:00 P.M. EST, Monday-Friday
Address:
MassHealth,
P.O. Box 2906
Milwaukee, WI 53201-2906
